KAPLAN PREDICTOR 2026 / LATEST KAPLAN
PREDICTOR D ACTUAL EXAM 2026 ACCURATE
TEST EXAM APPROVE
Questions 1–20: Management of Care / Leadership / Delegation
1. A charge nurse is making shift assignments on a medical-surgical unit. Which
client should be assigned to an LPN/LVN?
A) Client with acute chest pain and ECG changes
B) Client newly diagnosed with diabetes requiring discharge teaching
C) Client with a stable ileostomy needing routine ostomy care
D) Client with a tracheostomy requiring hourly suctioning
Rationale: LPNs can perform stable, routine procedures. Unstable, teaching, or
complex assessments require an RN.
2. A nurse finds a client on the floor. The client says, “I tried to get up to use the
bathroom and fell.” After ensuring the client is stable, what should the nurse do
next?
A) Complete an incident report
B) Assess the client for injury
C) Notify the provider
D) Place a fall risk sign on the door
Rationale: The priority is to assess for injury. The incident report is completed after
care is provided.
3. A nurse manager is reviewing informed consent. Which task can the nurse
perform?
,A) Explain the risks and benefits of the procedure
B) Witness the client’s signature on the consent form
C) Determine if the client is competent to consent
D) Obtain consent for emergency surgery without a provider’s order
Rationale: The nurse can witness the signature; explanation and competency
determination are the provider’s responsibility.
4. A nurse is caring for a client who refuses a blood transfusion due to religious
beliefs. The hospital policy states that the client has the right to refuse. What
should the nurse do?
A) Notify security to detain the client
B) Respect the refusal and notify the provider
C) Administer the transfusion to save the client’s life
D) Ask the family to override the decision
Rationale: Competent adults have the legal right to refuse treatment, even if the
refusal may lead to death.
5. A nurse is planning care for a client who is on contact precautions. Which
intervention is appropriate?
A) Place the client in a negative-pressure room
B) Don a gown and gloves before entering the room
C) Keep the door closed at all times
D) Wear an N95 respirator
Rationale: Contact precautions require gown and gloves. Negative pressure is for
airborne; door closure is for droplet/airborne.
6. A nurse observes a UAP palpating a client’s carotid pulse on both sides
simultaneously. What should the nurse do?
A) Document the finding as correct technique
B) Stop the UAP and explain that this can cause bradycardia
C) Report the UAP to the nursing supervisor immediately
D) Ignore it because it is not harmful
, Rationale: Simultaneous bilateral carotid massage can trigger a vagal response,
causing bradycardia or asystole.
7. A nurse is caring for a client who has a living will. The client is now unable to
make decisions. The nurse should:
A) Follow the instructions in the living will
B) Ask the family to override the living will
C) Consult the ethics committee before any care
D) Provide full life support regardless
Rationale: A living will is a legal document that must be honored. The ethics
committee may be consulted later if needed.
8. A nurse is preparing to transfer a client to a skilled nursing facility. Which
information must be included in the transfer report?
A) The client’s full medical history since birth
B) Current medications, allergies, and code status
C) The family’s financial information
D) The name of the client’s insurance provider
Rationale: Essential transfer data includes medications, allergies, code status, and
recent changes in condition.
9. A charge nurse is facilitating a staff meeting. A staff member suggests a new
process for medication reconciliation. What is the charge nurse’s best response?
A) “We will continue with the current process.”
B) “Let’s review the evidence and propose a pilot test.”
C) “That is not within your role.”
D) “We will vote on it now.”
Rationale: Encouraging evidence-based practice and a pilot study promotes quality
improvement and staff engagement.
10. A nurse is caring for a client who is being discharged but has no safe housing.
Which is the nurse’s best action?
PREDICTOR D ACTUAL EXAM 2026 ACCURATE
TEST EXAM APPROVE
Questions 1–20: Management of Care / Leadership / Delegation
1. A charge nurse is making shift assignments on a medical-surgical unit. Which
client should be assigned to an LPN/LVN?
A) Client with acute chest pain and ECG changes
B) Client newly diagnosed with diabetes requiring discharge teaching
C) Client with a stable ileostomy needing routine ostomy care
D) Client with a tracheostomy requiring hourly suctioning
Rationale: LPNs can perform stable, routine procedures. Unstable, teaching, or
complex assessments require an RN.
2. A nurse finds a client on the floor. The client says, “I tried to get up to use the
bathroom and fell.” After ensuring the client is stable, what should the nurse do
next?
A) Complete an incident report
B) Assess the client for injury
C) Notify the provider
D) Place a fall risk sign on the door
Rationale: The priority is to assess for injury. The incident report is completed after
care is provided.
3. A nurse manager is reviewing informed consent. Which task can the nurse
perform?
,A) Explain the risks and benefits of the procedure
B) Witness the client’s signature on the consent form
C) Determine if the client is competent to consent
D) Obtain consent for emergency surgery without a provider’s order
Rationale: The nurse can witness the signature; explanation and competency
determination are the provider’s responsibility.
4. A nurse is caring for a client who refuses a blood transfusion due to religious
beliefs. The hospital policy states that the client has the right to refuse. What
should the nurse do?
A) Notify security to detain the client
B) Respect the refusal and notify the provider
C) Administer the transfusion to save the client’s life
D) Ask the family to override the decision
Rationale: Competent adults have the legal right to refuse treatment, even if the
refusal may lead to death.
5. A nurse is planning care for a client who is on contact precautions. Which
intervention is appropriate?
A) Place the client in a negative-pressure room
B) Don a gown and gloves before entering the room
C) Keep the door closed at all times
D) Wear an N95 respirator
Rationale: Contact precautions require gown and gloves. Negative pressure is for
airborne; door closure is for droplet/airborne.
6. A nurse observes a UAP palpating a client’s carotid pulse on both sides
simultaneously. What should the nurse do?
A) Document the finding as correct technique
B) Stop the UAP and explain that this can cause bradycardia
C) Report the UAP to the nursing supervisor immediately
D) Ignore it because it is not harmful
, Rationale: Simultaneous bilateral carotid massage can trigger a vagal response,
causing bradycardia or asystole.
7. A nurse is caring for a client who has a living will. The client is now unable to
make decisions. The nurse should:
A) Follow the instructions in the living will
B) Ask the family to override the living will
C) Consult the ethics committee before any care
D) Provide full life support regardless
Rationale: A living will is a legal document that must be honored. The ethics
committee may be consulted later if needed.
8. A nurse is preparing to transfer a client to a skilled nursing facility. Which
information must be included in the transfer report?
A) The client’s full medical history since birth
B) Current medications, allergies, and code status
C) The family’s financial information
D) The name of the client’s insurance provider
Rationale: Essential transfer data includes medications, allergies, code status, and
recent changes in condition.
9. A charge nurse is facilitating a staff meeting. A staff member suggests a new
process for medication reconciliation. What is the charge nurse’s best response?
A) “We will continue with the current process.”
B) “Let’s review the evidence and propose a pilot test.”
C) “That is not within your role.”
D) “We will vote on it now.”
Rationale: Encouraging evidence-based practice and a pilot study promotes quality
improvement and staff engagement.
10. A nurse is caring for a client who is being discharged but has no safe housing.
Which is the nurse’s best action?
